Healthcare Provider Details

I. General information

NPI: 1881803930
Provider Name (Legal Business Name): MONTGOMERY HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 KING FARM BLVD STE 400
ROCKVILLE MD
20850-5749
US

IV. Provider business mailing address

700 KING FARM BLVD STE 400
ROCKVILLE MD
20850-5749
US

V. Phone/Fax

Practice location:
  • Phone: 301-921-4400
  • Fax: 301-921-4433
Mailing address:
  • Phone: 301-921-4400
  • Fax: 301-921-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KAREN MILLER
Title or Position: CEO
Credential:
Phone: 301-921-4400